scholarly journals Characteristics of minor head trauma in toddlers

2021 ◽  
Vol 38 (4) ◽  
pp. 516-520
Author(s):  
Korkut BOZAN ◽  
Abdullah ALGIN ◽  
Serdar ÖZDEMİR ◽  
Mehmet Özgür ERDOĞAN ◽  
Nazmiye KOYUNCU ◽  
...  

The objective of present study is to evaluate mechanisms and causes of head trauma, factors influencing management of pediatric minor head trauma, to highlight decision making processes in diagnostic imaging as well as searching for preventive measures for head trauma. Children younger than two years of age who were admitted to emergency department in one-year study period due to minor head trauma were included to the study. To be inside or outside of house did not significantly change the incidence of falls for children younger than two years of age (p=0.096). Incidence of falls was significantly increased at living rooms (p=0.01) and bathrooms (p=0.036). Incidence of scalp hematomas was significantly higher in symptomatic patients (p=0.006). Asymptomatic admission after a minor injury was not a significant factor on decision of diagnostic imaging. A patient’s asymptomatic presentation should not be used as a criterion to rule out cerebral injuries. A lack of obvious signs and symptoms during evaluation does not exclude TBI. Existing serious symptoms should lead to a quick evaluation of patient to rule out a possible surgical emergency. Scalp hematomas are significantly associated with cerebral injury and are a predictor of brain injury. Clinicians should have a lower threshold for imaging in children<2 years of age.

Cephalalgia ◽  
1991 ◽  
Vol 11 (6) ◽  
pp. 275-276 ◽  
Author(s):  
Steven G Sable ◽  
Nabih M Ramadan

A 34-year-old woman developed severe and incapacitating positional headaches two weeks following a minor head trauma. Lumbar punctures demonstrated unmeasurable or very low CSF pressures. Gado-linium-enhanced cranial MRI showed diffuse enhancement of thickened meninges, suggesting inflammation. One year later, MRI was normal.


2017 ◽  
Vol 33 (12) ◽  
pp. e177-e179 ◽  
Author(s):  
Robert Zant ◽  
Michael Melter ◽  
Christian Doerfler ◽  
Felix Schlachetzki ◽  
Ernst-Michael Jung ◽  
...  

1995 ◽  
Vol 2 (8) ◽  
pp. 675-680 ◽  
Author(s):  
M. Andrew Levitt ◽  
Laura Ann Staffeld Cook ◽  
Barry C. Simon ◽  
Virgil Williams

2009 ◽  
Vol 67 (2b) ◽  
pp. 519-522 ◽  
Author(s):  
Jaime Lin ◽  
Joelma Karin Sagica Fernandes ◽  
Chiconelli Faria ◽  
Ricardo Silva Pinho ◽  
Marcelo Rodrigues Masruha ◽  
...  

2015 ◽  
Vol 19 ◽  
pp. S101-S102
Author(s):  
M. Pavlovic ◽  
D. Neubauer ◽  
A. Al Tawari ◽  
L. Cindro Heberle ◽  
B. Jocic Jakubi

2002 ◽  
Vol 40 (5) ◽  
pp. 505-515 ◽  
Author(s):  
William R. Mower ◽  
Jerome R. Hoffman ◽  
Mel Herbert ◽  
Allan B. Wolfson ◽  
Charles V. Pollack ◽  
...  

2007 ◽  
Vol 12 (4) ◽  
pp. 4-7
Author(s):  
Christopher R. Brigham ◽  
Jenny Walker

Abstract Rating patients with head trauma and multiple neurological injuries can be challenging. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, Section 13.2, Criteria for Rating Impairment Due to Central Nervous System Disorders, outlines the process to rate impairment due to head trauma. This article summarizes the case of a 57-year-old male security guard who presents with headache, decreased sensation on the left cheek, loss of sense of smell, and problems with memory, among other symptoms. One year ago the patient was assaulted while on the job: his Glasgow Coma Score was 14; he had left periorbital ecchymosis and a 2.5 cm laceration over the left eyelid; a small right temporoparietal acute subdural hematoma; left inferior and medial orbital wall fractures; and, four hours after admission to the hospital, he experienced a generalized tonic-clonic seizure. This patient's impairment must include the following components: single seizure, orbital fracture, infraorbital neuropathy, anosmia, headache, and memory complaints. The article shows how the ratable impairments are combined using the Combining Impairment Ratings section. Because this patient has not experienced any seizures since the first occurrence, according to the AMA Guides he is not experiencing the “episodic neurological impairments” required for disability. Complex cases such as the one presented here highlight the need to use the criteria and estimates that are located in several sections of the AMA Guides.


2008 ◽  
Vol 39 (05) ◽  
Author(s):  
I Oster ◽  
S Meyer ◽  
MG Shamdeen ◽  
L Gortner

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